title: Electronic prescriptions are slowly spreading in the European Union.
abstract: OBJECTIVE
  This study investigated whether the adoption of electronic prescriptions (e-prescriptions) had increased in the 27 member countries of the European Union (EU) in the beginning of this decade. Our previous study in 2002 concerning the old union with 15 countries had discovered that e-prescriptions were rare in daily practice and that there was only slight interest for their future use. Since the internal market with free movement of people, goods, services, and capital is a central issue in the Union, we took a cross-border view of the use of the e-prescriptions.
  
  
  METHODS
  A semiopen questionnaire on the use of e-prescriptions, chosen systems, the process itself, investments, and the acceptance of non-national European prescriptions was e-mailed to community pharmacy associations of the 27 EU member countries that were members of or otherwise identified by the Pharmaceutical Group of the EU.
  
  
  RESULTS
  Five countries were using e-prescriptions as a part of their daily practice, but only Denmark and Sweden reported nationwide use. These countries were the same that used e-prescriptions nationally already in 2002. Pilots presented in 2002 had not yet advanced into daily practice. Some new pilots/projects were prepared in the old and new member countries. E-prescription models and systems used were divergent between the countries and sometimes even within a country.
  
  
  CONCLUSIONS
  Nationwide use of e-prescriptions was not more common than in 2002. Several countries had piloted or were piloting projects on e-prescriptions. Interoperability of different systems is a challenge to which EU-funded projects might offer a solution.
authors.affiliation: Turku City Healthcare, Turku, Finland. mia.makinen@fimnet.fi
authors.forename: Mia
authors.initials: M
authors.lastname: Mäkinen
authors.forename: Päivi
authors.initials: P
authors.lastname: Rautava
authors.forename: Jari
authors.initials: J
authors.lastname: Forsström
authors.forename: Markku
authors.initials: M
authors.lastname: Aärimaa
mesh_terms: D001291:Attitude of Health Personnel; D055695:Electronic Prescribing / Q000706:statistics & numerical data*; D005062:European Union / Q000706:statistics & numerical data*; D006801:Humans; D010593:Pharmaceutical Services / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D012984:Software